Histone H3K36me2-Specific Methyltransferase ASH1L Promotes MLL-AF9-Induced Leukemogenesis

ASH1L and MLL1 are two histone methyltransferases that facilitate transcriptional activation during normal development. However, the roles of ASH1L and its enzymatic activity in the development of MLL-rearranged leukemias are not fully elucidated in Ash1L gene knockout animal models. In this study, we used an Ash1L conditional knockout mouse model to show that loss of ASH1L in hematopoietic progenitor cells impaired the initiation of MLL-AF9-induced leukemic transformation in vitro. Furthermore, genetic deletion of ASH1L in the MLL-AF9-transformed cells impaired the maintenance of leukemic cells in vitro and largely blocked the leukemia progression in vivo. Importantly, the loss of ASH1L function in the Ash1L-deleted cells could be rescued by wild-type but not the catalytic-dead mutant ASH1L, suggesting the enzymatic activity of ASH1L was required for its function in promoting MLL-AF9-induced leukemic transformation. At the molecular level, ASH1L enhanced the MLL-AF9 target gene expression by directly binding to the gene promoters and modifying the local histone H3K36me2 levels. Thus, our study revealed the critical functions of ASH1L in promoting the MLL-AF9-induced leukemogenesis, which provides a molecular basis for targeting ASH1L and its enzymatic activity to treat MLL-AF9-induced leukemias.


INTRODUCTION
The MLL rearrangement (MLLr) caused by 11q23 chromosomal translocations creates a variety MLL fusion proteins that drive the acute lymphoblastic and myeloid leukemia development, which accounts for approximate 5-10% acute leukemias in human patients (1)(2)(3)(4)(5). Despite recent progression in the development of chemotherapies against leukemias, the overall prognosis for the MLLr leukemias remains poor (6,7).
MLL1 protein is a histone lysine methyltransferase (KMTase) that contains a SET (Su(var)3-9, Enhancer-of-zeste and Trithorax) domain to catalyze trimethylation of histone H3 lysine 4 (H3K4me3) (8). Functionally, MLL1 belongs to the Trithorax-group (TrxG) proteins that antagonize the Polycomb-group (PcG)-mediated gene silencing and facilitate transcriptional activation (9). In 11q23 chromosomal translocations, the N-terminal portion of MLL1 is fused with a variety of fusion partners to generate different oncogenic MLL fusion proteins that function as disease drivers leading to leukemia development (10)(11)(12). Previous studies have revealed that the N-terminal portion of MLL fusion proteins interacts with MENIN and LEDGF (Lens Epithelium-Derived Growth Factor), which is critical for the recruitment of MLL fusion proteins to chromatin, whereas the C-terminal fusion partners interact with various trans-activators to induce transcriptional activation (13)(14)(15)(16)(17). However, since the MLL fusion proteins lack the intrinsic histone H3K4 methyltransferase activity due to loss of the SET domain located in the C-terminal portion of MLL1 (10), it is unclear whether other histone modifications are required for the MLL fusion proteins-induced gene expression and leukemogenesis.
Recently, another member of TrxG proteins, ASH1L (Absent, Small, or Homeotic-Like 1), was found to play important roles in normal hematopoiesis and leukemogenesis (8,18,19). Biochemically, ASH1L is a histone KMTase that mediates dimethylation of histone H3 lysine 36 (H3K36me2) (20). Similar to MLL1, ASH1L facilitates gene expression through antagonizing PcG-mediated gene silencing (8). Previous studies have shown that ASH1L and MLL1 co-occupies the same transcriptional regulatory regions, and loss of either ASH1L or MLL1 reduces the expression of common genes (21)(22)(23), suggesting ASH1L and MLL1 function synergistically to activate gene expression during normal development. However, the significance of ASH1L and its-mediated histone H3K36me2 in the MLLr-associated leukemogenesis has not been addressed in the Ash1L gene knockout animal models.
In this study, we used an Ash1L conditional knockout mouse model to show that loss of ASH1L in hematopoietic progenitor cells (HPCs) impaired the initiation of MLL-AF9-induced leukemic transformation in vitro. Furthermore, genetic deletion of ASH1L in the MLL-AF9-transformed cells impaired the maintenance of leukemic cells in vitro and largely blocked the leukemia progression in vivo. Importantly, the loss of ASH1L function in the Ash1L-deleted cells could be rescued by ectopic expression of wild-type but not the catalytic-dead mutant ASH1L, suggesting the enzymatic activity of ASH1L was required for its function in promoting MLL-AF9-induced leukemic transformation. At the molecular level, ASH1L activated the MLL-AF9 target gene expression by directly binding to the gene promoters and modifying the local histone H3K36me2 levels. Thus, our study revealed the critical functions of ASH1L in MLL-AF9-induced leukemogenesis and raised the possibility that ASH1L might serve as a potential therapeutic target for the treatment of MLL-AF9-induced leukemias.

Mice
The Ash1L conditional knockout mice were generated as previously reported (24). To generate inducible Ash1L deletion, mice were crossed with Rosa26-CreER T2 mice that were obtained from The Jackson Laboratory. All mice for this study were backcrossed to C57BL/6 mice for at least five generations to reach pure genetic background prior to conducting experiments. All mouse experiments were performed with the approval of the Michigan State University Institutional Animal Care & Use Committee.

Retroviral and Lentiviral Vector Production and Transduction
The pMIG-FLAG-MLL-AF9 retroviral vectors as obtained from Addgene (Plasmid #71443). Retroviral vectors were generated by co-transfection of retroviral vectors with pGag-pol, pVSVG 293T cells using CalPhos mammalian transfection kit (TaKaRa). After 48hrs post transfection, viral supernatant was harvested, filtered through a 0.45 mm membrane, and concentrated by ultracentrifugation. The lentiviral system was obtained from the National Institutes of Health AIDS Research and Reference Reagent Program. To generate GFP expression vectors, the GFP cDNA was PCR amplified, fused with P2A and puromycin resistant cassette and cloned into the SpeI/EcoRI sites under the EF1a promoter. To generate lentiviral viruses, the transducing vectors pTY, pHP and pHEF1a-VSVG were cotransfected into HEK293T cells. The supernatant was collected at 24, 36 and 48 hours after transfection, filtered through a 0.45 mm membrane and concentrated by ultracentrifugation. Retroviral and lentiviral transduction of HPCs was performed by spin inoculation for 1 hour at 800g, in RMPI1640 medium supplemented with 10% FBS, 1x MEM non-essential amino acids (Life Technologies), 1x Glutamax (Life Technologies), 1x sodium pyruvate (Life Technologies), and 10 ng/mL mIL-3 (PeproTech).

Serial Methylcellulose Replating Assay and Leukemia Transplantation
The colony formation assays were conducted by plating 500 cells into methylcellulose media consisting of Iscove MDM (Life Technologies) supplemented with FBS, BSA, insulin-transferrin (Life Technologies), 2-mercaptoethanol, 50 ng/mL mSCF (PeproTech), 10 ng/mL mIL-6 (PeproTech), 10 ng/mL mIL-3 (PeproTech), and 10 ng/mL GM-CSF (PeproTech). After 7-10 days, the colony numbers were counted under a microscope. The colonies were picked up, and cells were pooled and replated onto secondary methylcellulose plates. Three rounds of replating were performed for each experiment. For leukemia transplantation, recipient C57BL/6 mice were subjected to total body irradiation at a dose of 11 Gy with the use of a X-RAD 320 biological irradiator. Donor cells (5 × 10 5 ) and radiation protector cells (5 × 10 5 ) isolated from BM were mixed in 1× PBS and transplanted into the recipient mice through retro-orbital injection. The mice were fed with water supplemented with trimethoprim/ sulfamethoxazole for 4 weeks after transplantation.

FACS Analysis
For FACS analysis, cells were stained with antibodies in staining buffer (1× PBS, 2% FBS) and incubated at 4°C for 30 minutes. The samples were washed once with staining buffer before subjected to FACS analysis with the use of a BD LSRII. The antibodies used in this study include anti-Mac-1(eBioscience), anti-Gr-1(eBioscience), anti-c-KIT (eBioscience).

Western Blot Analysis
Total proteins were extracted by RIPA buffer and separated by electrophoresis by 8-10% PAGE gel. The protein was transferred to the nitrocellulose membrane and blotted with primary antibodies. The antibodies used for Western Blot and IP-Western Blot analyses included: rabbit anti-ASH1L (1:1000, in house) (24) and IRDye 680 donkey anti-rabbit second antibody (1: 10000, Li-Cor). The images were developed by Odyssey Li-Cor Imager (Li-Cor).
Quantitative RT-PCR and ChIP-qPCR Assays RNA was extracted and purified from cells with the use of Qiashredder (QIAGEN) and RNeasy (QIAGEN) spin columns. Total RNA (1 µg) was subjected to reverse transcription using Iscript reverse transcription supermix (Bio-Rad). cDNA levels were assayed by real-time PCR using iTaq universal SYBR green supermix (Bio-Rad) and detected by CFX386 Touch Real-Time PCR detection system (Bio-Rad). Primer sequences for qPCR are listed in Supplementary Table 3. The expression of individual genes is normalized to expression level of Gapdh. ChIP assays that used rabbit anti-ASH1L antibody (in house), rabbit anti-H3K36me2 antibody (Abcam), rabbit anti-Flag antibody (Cell Signaling) were carried out according to the previously reported protocol with the following modifications (25):~2 ug antibodies were used in the immunoprecipitation, and chromatin-bound beads were washed 3 times each with TSEI, TSEII, and TESIII followed by 2 washes in 10mM Tris, pH 7.5, 1mM EDTA. Histone modification ChIPs were carried out as previously reported (26). DNA that underwent ChIP was analyzed by quantitative PCR (qPCR), and data are presented as the percentage of input as determined with CFX manager 3.1 software. The amplicons were designed to locate at 1.0-kb upstream of transcriptional starting sites (TSS) and transcription ending sties (TES) of Hoxa9/Hoxa10 genes. The mouse intracisternal A-particle LTR repeat elements were included as a negative control for the ASH1L binding. The ChIP primers for the mouse IAP LTR were purchased from Cell Signaling (85916, Cell Signaling). Other qPCR and ChIP primers are listed in Supplementary Table 3, respectively.

RNA-Seq Sample Preparation for HiSeq4000 Sequencing
RNA was extracted and purified from cells using QI shredder (Qiagen) and RNeasy (Qiagen) spin columns. Total RNA (1 µg) was used to generate RNA-seq library using NEBNext Ultra Directional RNA library Prep Kit for Illumina (New England BioLabs, Inc) according to the manufacturer's instructions. Adapter-ligated cDNA was amplified by PCR and followed by size selection using agarose gel electrophoresis. The DNA was purified using Qiaquick gel extraction kit (Qiagen) and quantified both with an Agilent Bioanalyzer and Invitrogen Qubit. The libraries were diluted to a working concentration of 10nM prior to sequencing. Sequencing on an Illumina HiSeq4000 instrument was carried out by the Genomics Core Facility at Michigan State University.

RNA-Seq Data Analysis
RNA-Seq data analysis was performed essentially as described previously. All sequencing reads were mapped mm9 of the mouse genome using Tophat2 (27). The mapped reads were normalized to reads as Reads Per Kilobase of transcript per Million mapped reads (RPKM). The differential gene expression was calculated by Cuffdiff program and the statistic cutoff for identification of differential gene expression is p < 0.01 and 1.5fold RPKM change between samples (28). The heatmap and plot of gene expression were generated using plotHeatmap and plotProfile in the deepTools program (29). The differential expressed gene lists were input into the David Functional Annotation Bioinformatics Microarray Analysis for the GO enrichment analyses (https://david.ncifcrf.gov/).

Statistical Analysis
All statistical analyses were performed using GraphPad Prism 9 (GraphPad Software). Parametric data were analyzed by a twotailed t test or two-way ANOVA test for comparisons of multiple samples. The post-transplantation survivals were analyzed by the Gehan-Breslow-Wilcoxon test. P values < 0.05 were considered statistically significant. Data are presented as mean ± SEM.

ASH1L Promotes the Initiation of MLL-AF9-Induced Leukemic Transformation In Vitro
To examine the function of ASH1L in MLL-AF9-induced leukemogenesis, we generated an Ash1L conditional knockout (Ash1L-cKO) mouse line in which two LoxP elements inserted into the exon 4 flanking regions (24). A CRE recombinasemediated deletion of exon 4 resulted in altered splicing of mRNA that created a premature stop codon before the sequences encoding the first functional AWS (associated with SET) domain ( Figures 1A, B). The Ash1L-cKO mice were further crossed with the Rosa26-CreER T2 mice to generate a tamoxifeninducible Ash1L knockout line (Ash1L 2f/2f ;Rosa26-CreER T2 ), which allowed us to study the function of ASH1L in leukemogenesis in vitro and in vivo.
Using this Ash1L-cKO mouse model, we investigate the role of ASH1L in the initiation of MLL-AF9-induced leukemic transformation. To this end, we isolated the bone marrow cells from wild-type (Ash1L +/+ ;Cre-ER T2 ) and Ash1L-cKO (Ash1L 2f/2f ; Cre-ER T2 ) mice, respectively. The c-KIT + HPCs were further  enriched by the c-KIT antibody-conjugated magnetic beads ( Figure 1C). The HPCs were cultured in the HPC medium supplemented with murine IL-3, IL-6, and SCF for three days, and followed by transduction of retroviral vectors expressing a MLL1-AF9 fusion gene or control empty viruses (EV). After transduction, the cells were cultured in the suspension medium with 4-hydroxytamoxifen (4-OHT) for five days to induce Ash1L gene deletion in the Ash1L-cKO HPCs ( Figure 1D). The quantitative RT-PCR (qRT-PCR) analysis showed that the Ash1L expression reduced to less than 5% at the mRNA level in the Ash1Ldeleted cells ( Figure 1E). To investigate the effect of Ash1L loss on the initiation of MLL-AF9-induced leukemic transformation in vitro, we performed serial colony replating assays by plating the cells on the semi-solid methylcellulose medium to examine the leukemic transformation. The results showed that although the cells transduced with MLL-AF9 or empty vectors had comparable colony numbers in the first round of plating, the cells transduced with control empty vectors did not form colonies in the following rounds of replating. In contrast, both wild-type and Ash1L-cKO HPCs transduced with MLL-AF9 retroviruses formed colonies in all three rounds of plating, indicating successful leukemic transformation by the MLL-AF9 transgene in vitro. Notably, compared to the MLL-AF9-transduced wild-type cells, the Ash1L-deleted cells had reduced colony numbers in the second and third rounds of plating, suggesting that loss of Ash1L in HPCs compromised the MLL-AF9-induced leukemic transformation ( Figures 1F, G), suggesting ASH1L promotes the MLL-AF9-induced leukemic transformation in vitro.

ASH1L Facilitates the Maintenance of MLL-AF9-Induced Leukemic Cells In Vitro
Next, we examined the functional role of Ash1L in maintaining the MLL-AF9-transformed cells. To this end, we transduced both wild-type and Ash1L-cKO HPCs with MLL-AF9 retroviruses and plated the transduced cells onto the methylcellulose medium. After three rounds of replating, the transformed colonies were manually picked and cultured in the suspension medium supplemented with 4-OHT for 5 days to induce deletion of Ash1L in the Ash1L-cKO cells. The cells were further maintained in suspension culture without 4-OHT for 5 days before plated onto the methylcellulose to examine the colony formation ( Figure 2A). The results showed that compared to the wildtype MLL-AF9-transformed cells, the Ash1L-deleted cells had marked reduced colony formation ( Figures 2B, C), suggesting that ASH1L facilitated the maintenance of MLL-AF9 transformed cells in vitro.
To examine cellular responses to the Ash1L depletion, we performed the FACS analysis to examine cell death in response  to the loss of Ash1L in the MLL-AF9-transformed cells. The results showed that compared to the wild-type cells, the Ash1L-deleted cells had increased populations of both early apoptotic cells (Annexin V+/DAPI-) and late dead cells (Annexin V+/DAPI+) ( Figure 2D), suggesting that the loss of Ash1L induced cell death of MLL-AF9-transformed cells. Moreover, FACS analyses showed that compared to the wild-type transformed cells, the Ash1Ldeleted cells had increased expression of myeloid differentiation surface markers CD11b and GR-1 ( Figure 2E). Morphologically, the wild-type transformed cells displayed leukoblast-like morphology with enlarged dark stained nuclei, while the Ash1Ldeleted cells had light-stained and segmented nuclei, a feature indicating the differentiation towards matured myeloid cells ( Figure 2F). Taken together, these results suggested that ASH1L facilitated the maintenance of MLL-AF9-transformed cells through suppressing cell death and differentiation.

ASH1L Promotes the MLL-AF9-Induced Leukemia Development In Vivo
To determine the role of ASH1L in the MLL-AF9-induced leukemogenesis in vivo, we performed leukemia transplantation assays and monitor the leukemia development in recipient mice.
To this end, the wild-type and Ash1L-deleted MLL-AF9transformed cells were labeled with GFP by transduction with lentiviral-GFP vectors, mixed with normal protective bone marrow cells, and transplanted into the total-body-irradiated (TBI) syngeneic recipient mice ( Figure 3A). Four weeks after transplantation, FACS analysis showed that the mice transplanted with wild-type leukemic cells had higher GFP+ leukemic cell populations in the peripheral blood compared to the mice received with Ash1L-KO leukemic cells ( Figure 3B), which was consistent with the higher leukemic cell numbers in the peripheral blood smears and splenomegaly found in the mice transplanted with wild-type leukemic cells (Figures 3C, D). All mice transplanted with wild-type leukemic cells died within 3 months after transplantation, and the median survival time was around 8.5 weeks. In contrast, the mice transplanted with Ash1L-deleted cells had significant longer survival time (Chi square = 10.73, df = 1, p = 0.0011) compared to the mice transplanted with wild-type leukemic cells ( Figure 3E). These results suggested that ASH1L in the MLL-AF9-transformed leukemic cells promoted the development and progression of leukemia in vivo.

The Enzymatic Activity of ASH1L Is Required for Its Function in Promoting MLL-AF9-Induced Leukemic Transformation
Next, we set out to determine whether the histone methyltransferase activity of ASH1L was required for its function in promoting MLL-AF9-induced leukemic transformation. To this end, the Ash1L-cKO HPCs were infected with retroviruses expressing MLL-AF9 transgene, followed by transduced with lentiviral vectors expressing either wild-type ASH1L or catalytic-dead mutant ASH1L(H2214A) (21). The transformed cells were treated with 4-OHT to induce deletion of endogenous Ash1L gene ( Figure 4A).
Western blot analysis showed that both wild-type and mutant exogenous ASH1L had a similar expression level ( Figure 4B). The cells were further plated onto the methylcellulose medium to examine the colony formation ( Figure 4A). The results showed that compared to the wild-type ASH1L-expressed cells, the cells with ectopic expression of catalytic-dead mutant ASH1L had reduced colony formation (Figures 4C, D). Similar to the Ash1L-deleted cells, the Ash1L-deleted cells rescued with mutant ASH1L had increased cell death and upregulated expression of myeloid differentiation markers of CD11b and GR-1 (Figures 4E, F). These results suggested that ASH1L histone methyltransferase activity was required for its function in promoting MLL-AF9induced leukemogenesis by inhibiting cell death and blocking myeloid differentiation.

ASH1L Facilitates the MLL-AF9-Induced Leukemogenic Gene Expression
To examine the molecular mechanisms underlying the function of ASH1L in promoting MLL-AF9-induced leukemogenesis, we performed RNA-seq analyses to examine the transcriptome changes in normal HPCs, wild-type and Ash1L-deleted MLL-AF9-tranformed cells. The results showed that compared to normal HPCs, the MLL-AF9-transformed cells had 1,021 upregulated and 1,228 downregulated genes (cutoff: fold changes > 1.5, FDR < 0.05), respectively ( Figure 5A). The gene ontology (GO) enrichment analysis showed that both upregulated and downregulated genes were involved in immune processes and inflammatory responses (cutoff: FDR < 0.05) ( Supplementary Tables 1 and 2), suggesting that MLL-AF9 fusion proteins disrupted the normal differentiation and mis-regulated the normal function of myeloid cells. Notably, multiple genes, such as Hoxa5, Hoxa7, Hoxa9, Hoxa10 and MeisI that were known to mediate the MLL-AF9-induced leukemogenesis, were highly expressed in the MLL-AF9transformed cells ( Figure 5B). Further RNA-seq analysis showed that compared to MLL-AF9-transformed wild-type cells, the Ash1L-deleted cells had 372 upregulated gene and 472 downregulated genes (cutoff: fold changes > 1.5, FDR < 0.05), respectively ( Figure 5C). Cross-examining these two data sets revealed that 105 genes, including Hoxa5, Hoxa7, Hoxa9, Hoxa10, and MeisI that were highly expressed in the wild-type MLL-AF9-transformed cells, were downregulated in the Ash1Ldeleted cells (Figures 5D, E). Altogether, these results suggested

ASH1L Binds and Mediates the Histone H3K36me2 Modification at Hoxa9 and Hoxa10 Gene Promoters
To determine whether ASH1L directly regulated the expression of M L L -A F 9 ta r g e t g e ne s , we p e r f o r m e d c h r o m a ti n immunoprecipitation (ChIP) coupled with quantitative PCR (ChIP-qPCR) assays to examine the ASH1L occupancy, MLL-AF9 occupancy, and histone H3K36me2 modification at the gene promoters, transcriptional starting sites (TSS), transcriptional ending sites (TES) of Hoxa9 and Hoxa10, two MLL-AF9 target genes that were shown to be activated in the wild-type transformed cells and have reduced expression in the Ash1L-deleted cells ( Figures 5B, E). The results showed that both ASH1L occupancy and histone H3K36me2 were enriched at the Hoxa9 and Hoxa10 promoters compared to that on the TES and the long terminal repeat (LTR) of intracisternal A-particle (IAP) (Figures 6A-E).
Furthermore, compared to wild-type MLL-AF9-transformed cells, both ASH1L occupancy and histone H3K36me2 modification were reduced at the gene promoters in the Ash1L-deleted cells ( Figures 6A-E), suggesting that ASH1L bound to the Hoxa9 and Hoxa10 gene promoters directly and mediated local histone H3K36me2 modification. However, the MLL-AF9 occupancy at both gene promoters did not show significant difference between wild-type and Ash1L-deleted MLL-AF9-transformed cells ( Figures 6F, G), suggesting the ASH1L-mediated histone H3K36me2 did not affect the binding of MLL-AF9 fusion protein to the gene promoters.

DISCUSSION
Chromosomal 11q23 translocations generate various MLL fusion proteins that contain the N-terminal portion of MLL1 and different fusion partners including AF9 (30,31). Previous studies have demonstrated that the N-terminal MLL1 is critical for the recruitment of MLL fusion proteins to chromatin through its CxxC-zinc finger (CxxC-zf) domain and its interacting proteins MENIN and LEDGF, while the C-terminal fusion partners interact with multiple trans-activators to induce transcriptional activation (16). Since the MLL fusion proteins lose the MLL1 C-terminal SET domain and its-associated histone H3K4 methyltransferase activity, it is unclear whether other histone KMTase-mediated histone modifications are required for the MLL fusion proteins to activate leukemogenic gene expression and induce leukemia development.
ASH1L is another member of TrxG proteins that facilitate transcriptional activation (8). Biochemically, ASH1L is a histone KMTase mediating histone H3K36me2 modification (20). Recent studies reported that ASH1L and MLL1 co-occupied the same gene promoters to activate gene expression, suggesting ASH1L and MLL function synergistically in activating gene expression in normal development and leukemogenesis (19,(21)(22)(23). However, the functional roles of ASH1L and its-mediated histone H3K36me2 in the MLLr-associated leukemogenesis have not been addressed using Ash1L gene knockout animal models.
In this study, we used an Ash1L conditional knockout mouse model to show that ASH1L and its histone methyltransferase activity are required for promoting the MLL-AF9-induced leukemogenesis. First, genetic deletion of ASH1L in normal HPCs largely impairs the MLL-AF9-induced colony formation in serial methylcellulose replating assays (Figure 1), suggesting ASH1L promotes the initiation of MLL-AF9-induced leukemic transformation. Second, loss of ASH1L in the MLL-AF9transformed cells largely impaired the colony formation in vitro and delayed the leukemia development in the recipient mice transplanted with leukemic cells (Figures 2 and 3), suggesting ASH1L facilitates the maintenance of MLL-AF9-transformed cells in vitro and leukemia progression in vivo. Importantly, the impaired ASH1L's function in the Ash1L-KO cells could be rescued by the wild-type but not the catalytic-dead mutant ASH1L (Figure 4), suggesting that the histone methyltransferase activity is required for its function in promoting MLL-AF9-induced leukemogenic transformation, which is consistent with a recent study showing that the SET domain is required for the MLL-AF9-induced leukemic transformation (32). At the cellular level, we observed that the loss of ASH1L in MLL-AF9-transformed cells induced cell death and myeloid differentiation, which could be rescued by the wild-type but not the catalytic-dead mutant ASH1L (Figures 2, 4), suggesting that ASH1L promotes MLL-AF9-induced leukemic transformation though inhibiting cell apoptosis and blocking cell differentiation. The results are consistent with the molecular findings that ASH1L is required for the full activation of MLL-AF9 target genes including Hoxa gene cluster and MeisI (Figure 5), which are known to play important roles in leukemogenesis through inhibiting cell death and blocking normal cell differentiation (33)(34)(35). Finally, the ChIP assays showed that both ASH1L occupancy and histone H3K36me2 modification were enriched at the promoters of MLL-AF9 target genes Hoxa9 and Hoxa10 in the wild-type transformed cells ( Figure 6), indicating the ASH1L regulates the MLL-AF9 target genes through directly chromatin binding and its-mediated histone H3K36me2 modification.
Previous studies have shown that the PWWP domain of LEDGF is required for the recruitment of MLL fusion proteins through its binding to histone H3K36me2 (13,15,16). However, our ChIP analysis did not reveal reduction of MLL-AF9 occupancy at the Hoxa9 and Hoxa10 promoters in the Ash1L-KO cells ( Figures 6F, G), suggesting the MLL-AF9 fusion protein could bind to its target regions though other recruiting mechanisms, such as the CxxC-zf domain-mediated binding to unmethylated CpG-rich promoters (36), and the reduced H3K36me2 at gene promoters in the Ash1L-KO cells impaired the Hoxa gene expression through mechanisms other than the recruitment of MLL-AF9 fusion protein.
Our current study has some limitations: (i) since this study includes a single type of MLLr, MLL-AF9 fusion protein, to induce leukemia development in mice, it is unclear whether ASH1L has the similar function in promoting other MLLr-induced leukemogenesis; (ii) although Ash1L deletion induces cell death, some MLL-AF9transformed cells survive in vitro and in vivo, suggesting the MLL-AF9-transformed cells have heterogenous responses to the Ash1L depletion. However, the underlying mechanisms are not addressed by our current study. These fundamental questions merit further investigation for a better understating of the function of ASH1L in broad MLLr-associated leukemogenesis.
In summary, our study reveals that the histone H3K36me2specific methyltransferase ASH1L and its enzymatic activity play an important role in promoting the MLL-AF9-induced leukemogenesis, which provides an important molecular basis for targeting ASH1L and its enzymatic activity to treat MLL-AF9-induced leukemias.

DATA AVAILABILITY STATEMENT
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: NCBI GEO; GSE183413.

ETHICS STATEMENT
The animal study was reviewed and approved by Michigan State University Institutional Animal Care & Use Committee.

AUTHOR CONTRIBUTIONS
JH conceived the project. MA, YG, YW, and JH performed the experiments. JH and GM performed the sequencing data analysis. MA and JH interpreted the data and wrote the manuscript. All authors contributed to the article and approved the submitted version.

FUNDING
This work was supported by the National Institute Health NIH grant R01GM127431.